Summary of COVID-19 Regulatory Updates Between June 24 - 30 Can't see this email? View online.

July 1, 2020

Welcome to the Verisys Weekly Newsletter highlighting the COVID-19 regulatory updates between June 24 - 30, 2020.  

Verisys' Compliance Team gathers information from a variety of state and federal sources and updates our COVID-19 Resource Page daily with those updates. We have compiled the most recent updates from the past week in this email to assist your organization in serving patients during the pandemic and maintaining compliance as you bring additional providers on board to serve on the frontlines.

FEDERAL  
 
1135 waivers: One state submitted an additional 1135 waiver request to CMS. The approved waiver has been published by the Centers for Medicare and Medicaid Services. Unless otherwise stated, all waivers are retroactively effective March 1, 2020.  
 
New Hampshire (approved 6/26/2020)  
A face-to-face encounter does not need to be completed before the start of Home Health services can occur.  
 

STATE BOARD REGULATIONS
 
Board of Pharmacy  
 
California  
06/24/2020: The following waivers are now expired:  
 
- Staffing Ratio of Pharmacists to Intern Pharmacists  
- Staffing Ratio of Pharmacists to Pharmacy Technicians  
 
Source: All Pharmacy Law Waivers  
 
06/29/2020: The following waivers have been extended:  
 
- Use of PPE in Certain Compounding Aseptic Isolators or Compounding Aseptic Containment Isolators– Effective through August 30, 2020  
- Duty to Consult – Effective through September 29, 2020  
- Restoration of Retired or Cancelled License – Effective through October 1, 2020  
- Certification of Basic Life Support – Effective through August 5, 2020 - Prelicensure Inspection of Proposed ADDS Location – Effective through October 9, 2020  
- Reassessment/Revalidation/Re-evaluation Requirements for Sterile Compounding Staff Competencies – Effective through August 12, 2020  
 
Source: All Pharmacy Law Waivers  
 
Iowa  
06/26/2020: The following has been issued in response to the Governor’s Proclamation:  
 
- Through July 25, 2020, a pharmacist whose license has been inactive or expired for no more than 5 years may continue to engage in the practice of pharmacy with the inactive or lapsed license.  
- Technician Trainees whose registration expires between March 18, 2020 and July 31, 2020 and who are unable to sit for the national technician certification exam are authorized to continue practicing as a technician trainee until such time as the trainee is able to take the national certification exam.  
- Extends the temporary suspension of administrative rules which require continuing education as a condition of license renewal when such requirements cannot be satisfied due to the disaster emergency. - Licensees or registrants whose license or registration expires during this emergency period (March 22 through July 25) may continue to practice after the license or registration has expired if they are unable to renew the license or registration.  
- Extends the temporary suspension of administrative rules which require the completion of clinical, practical, or internship experience as a condition of obtaining pharmacist licensure.  
- Extends the temporary suspension of administrative rules which require the completion of a criminal history background check prior to licensure.  
- Extends the temporary suspension of administrative rules which prohibit a pharmacist who is licensed in another state from engaging in the practice of pharmacy in Iowa.  
- Extends the temporary suspension of administrative rules which require the completion of the background check and required examinations prior to issuance of an emergency pharmacist license to a recently graduated pharmacist-intern pursuant to Board guidance issued May 12, 2020.  
- Extends the suspension of administrative rules which require a pharmacist licensure candidate to complete all examination components within one year from the date the candidate passed the initial component  
 
Source: Board of Pharmacy Response to Governor's Proclamation  
 
Michigan  
06/26/2020: Temporary restrictions on entry into health care facilities, residential care facilities, and congregate care facilities.  
Source: Executive Order 2020-136  
 
Missouri  
06/24/2020: Extended all approved COVID-19 statutory/rule waivers until December 30, 2020. As a result, all Board waivers set to expire on June 15, 2020, and September 15, 2020, will remain in effect until December 30, 2020.  
Source: COVID-19 Waiver Update  
 
 
Board of Medicine  
 
California  
6/24/2020: For physician and surgeon applicants whose applications are deemed abandoned between March 31, 2020 and July 1, 2020, due to the applicant failing to pass or retake Step 3 of the United States Medical Licensing Examination, the Director waives California Code of Regulations, title 16, section 1306, subdivision (a)(4), to the extent it requires applicants to pass or retake the examination within one year, subject to the condition that an applicant must pass or retake the examination within 18 months from the date of written notification by the Medical Board of California.  
Source:DCA Waiver 20-25  
 
Iowa  
06/25/2020: The following has been issued in response to the Governor’s Proclamation:  
 
- A physician may practice medicine/telemedicine in Iowa without an Iowa medical license on a temporary basis to aid in the emergency.  
- All rules which establish preconditions, limitations, or restrictions on the provision of telehealth or telemedicine services in Iowa, including the use of audio-only telephone transmissions, continue to be suspended.  
- An individual who has graduated from an accredited medical school but has not obtained an initial Iowa medical license may seek an emergency medical license from the Board.  
- If a medical school graduate would like to apply for an Emergency Medical License they should go to the Iowa Board of Medicine’s website and use the Resident license application and indicate that they are applying for an Emergency Medical License.  
- A physician whose Iowa medical license lapsed or expired in good standing within five (5) years of the date of the Proclamation may provide medical care and treatment of victims of this public health emergency for the duration of the Proclamation.  
- All requirements for in-person continuing medical education and all deadlines and other requirements for continuing medical education that are unable to be satisfied due to the health emergency, are temporarily suspended during the period of this health emergency.  
- All license renewal requirements and deadlines continue to be temporarily suspended during the period of this health emergency. If a licensee had an active Iowa medical license on March 22, 2020, the expiration date will be automatically extended for the duration of this health emergency.  
- All criminal background checks required for initial licensure continue to be temporarily suspended during the period of this health emergency due to a temporary lack of fingerprinting services due to potential exposure to COVID-19.  
- All requirements for in-person notarizations for licensure and other purposes are temporarily suspended during the period of this health emergency due to potential exposure to COVID-19.  
- A medical spa may reopen or remain open to provide medical aesthetic services, but only if the medical spa complies with the requirements for performing procedures that utilize personalized protective equipment (PPE).  
Source: Emergency Proclamation  
 
Massachusetts  
06/24/2020: The Massachusetts Department of Public Health has issued conditions that must be met for non-essential elective procedures.  
Source: Elective Procedures Order  
 
Nevada  
06/29/2020: All licenses and permits issued by the State of Nevada, Boards, Commissions, Agencies, or political subdivisions, that expired between March 12, 2020 and June 30, 2020 because reduced government operations due to the state of emergency made timely renewal of the license or permit impracticable or impossible, shall be deemed valid and expire on September 28, 2020 at 11:59 pm.  
Source: Emergency Order 026  
 
Washington  
06/24/2020: PMP EHR Integration Requirement Waived until 9/30/2021  
Source: News and Announcements  
06/24/2020: E-Prescribing Requirement Waived until 9/30/2021  
Source: News and Announcements  
 
 
Board of Nursing  
 
California  
6/24/2020: Registered and vocational nursing applicants whose applications are deemed abandoned between March 31, 2020 and July 1, 2020, due to the applicant failing to take the examination prescribed by Business and Professions Code are eligible for an extension.  
Source:DCA Waiver 20-25  
 
Iowa  
6/25/2020: Proclamation extending the prior deadlines of June 25, 2020. This includes all prior licensing relief provisions. Proclamation expires 07/25/2020.  
Source: Emergency Proclamation  
 
Michigan  
6/26/2020: The creation of the Michigan Nursing Homes COVID-19 Preparedness Task Force.  
Source: Executive Order 2020-135  
 
Nevada  
6/29/2020: All licenses and permits issued by the State of Nevada, Boards, Commissions, Agencies, or political subdivisions, that expired between March 12, 2020 and June 30, 2020 because reduced government operations due to the state of emergency made timely renewal of the license or permit impracticable or impossible, shall be deemed valid and expire on September 28, 2020 at 11:59 pm.  
Source: Emergency Order 026  
 
Texas  
6/25/2020: Expanding hospital bed availability for COVID-19 patients. The Governor’s order suspends elective surgeries at hospitals in Bexar, Dallas, Harris, and Travis counties.  
Source: Executive Order GA-27  
 
 
Disclaimer:  
This information has been gathered from a variety of sources. Although Verisys has made every effort to provide complete, accurate and up-to-date information, Verisys makes no warranties, express or implied, or representations as to the accuracy or reliability of this information. The information is fluid and evolving. Verisys assumes no liability or responsibility for any errors or omissions in the information contained in this resource.  
 
The information contained in this newsletter comprises all the information that we have found during those dates. It may not constitute a complete list of every regulation instituted by every board during the last week.

Stay well,  
The Verisys Team  
1-888-VERISYS (837-4797)
customerservice@verisys.com

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